In an effort to come up with the most efficient solution to cut costs, UAB Medicine has hired Navigant Consulting to work through a comprehensive review of its operations.

"UAB Medicine is conducting a comprehensive review of all entities within the organization to increase alignment, optimize efficiency, and emphasize quality outcomes and the patient and family experience. This review includes growth strategies, expense reduction, and revenue enhancement initiatives within and among UAB Medicine entities," said UAB COO Reid Jones.

Jones also said that as officials continue to work through the review with Navigant, job cuts aren't off the table and that "the review of our overall staffing levels includes 400 open positions. It is unlikely all of those will be filled."

Jones said that there is no timetable for the completion of the review or any decisions that may come as a result.

UAB hired Navigant in 2009 to conduct a review that led to 245 layoffs within the UAB Health System.